It will be two weeks tomorrow since my appointment with the gynecologist. The appointment itself got off to a rocky start when I had to wait for an hour to see the doctor, who excused her tardiness by exclaiming that "she's had all these pregnant women today!" Oh, boy. Yep, the tears started and I had a meltdown when I had to give her my history of prior lost pregnancies because it never gets easier talking about them -- especially after spending 45 minutes surrounded by pregnant bellies.
The doctor was skeptical that I am in menopause and thinks that all the lupron has suppressed my ovaries from functioning properly. I explained that the first RE I saw in Canada predicted that I would begin menopause in my early forties due to my high FSH. She was hesitant about prescribing hormones, but I told her I was through with trying to conceive, and I pleaded my case about hot flashes, mood swings, belly weight gain, insomnia, and the stuff nobody talks about: low libido and vaginal dryness. I'm only 41 and I'm not ready for all this stuff. When I told her about being on estrogen patches during the embryo transfer protocol and how amazing I felt, she chuckled and said, "of course you did! You were on estrogen!" She told me she could write me a prescription for a low-dose patch and that I would also have to go on a low-dose progesterone so my lining wouldn't build up too much.
Since it has been two years since my last pap smear I also had one of those. In the past I have suffered through some horrible ones and was surprised at how pain free this one was and complimented the doctor who told me it's probably because of all the fertility treatments I've had. Guess that's a hidden benefit.
The doctor was okay, but since I'm moving I don't have time to find another one. Plus, I'll have to find one back in Canada (hopefully I'll be able to get a family doctor first). I will definitely look for a doctor fresh out of med school since my current GP graduated three years ago and she's awesome. Plus, when I mentioned to the gynecologist (50ish) about pursuing adoption she asked what country was I looking at? I told her I was looking into private adoption in Canada and she seemed surprised, whereas my family doctor had told me that she had helped a handful of patients adopt.
The hormone replacement therapy (HRT) has been wonderful. I feel like myself again. No more PMS-like mood swings and the libido is back. The only thing it doesn't quite solve (so far) are hot flashes, which I still get although not as frequently and not as severe. I am paranoid about breast cancer so I'm checking everyday. Maybe I'm being too paranoid, but I noticed a rash/chafing around my nipple and I'm not sure if this is abnormal or from exercising.
I feel normal and have energy again. For the next couple of months I'm really going to need that energy to get me through our move across the continent.